Parliamentary questions

1840. Deputy Cormac Devlin asked the Minister for Health the number and proportion of students in eligible schools immunisation cohort who received dose 1; completed the HPV vaccination course in each of the academic years 2019-2020 to 2024-2025; the figures in by sex (male/female), county, and CHO, including denominators used for coverage calculations, in tabular form; and if she will make a stat…

1841. Deputy Cormac Devlin asked the Minister for Health the estimated number and proportion of the eligible school cohort with no HPV vaccination recorded in each of the academic years 2019-2020 to 2024-2025; the reasons recorded for non-vaccination (no consent, absent on day, contraindication, deferred, other); the actions being taken to reduce the non-vaccinated proportion in 2025-2026; and if …

1842. Deputy Cormac Devlin asked the Minister for Health the number of catch-up HPV vaccinations administered outside the school programme since 1 January 2019 by age band (15-19, 20-26, 27-45 years), sex, CHO, and provider setting (GP, pharmacy, HSE clinic); the number completing full schedules; and if she will make a statement on the matter. [58796/25]

1843. Deputy Cormac Devlin asked the Minister for Health the most recent mid-year uptake snapshot for the 2025-2026 school cohort, to include first-dose uptake and scheduled completion rate by sex and county; the communications and outreach measures funded in 2025-2026 to improve uptake, including targeted engagement with boys/young men, DEIS schools, migrant communities and medically vulnerable g…

1844. Deputy Cormac Devlin asked the Minister for Health the annual number and age-standardised incidence of HPV-attributable cancers in Ireland over the past ten years, by site (cervix, oropharynx, anus, penis, vulva, vagina) and sex, with the proportion HPV-16 positive where available; the source methodology (e.g. NCRI linkage, p16/HPV genotyping); and if she will make a statement on the matter.…

1845. Deputy Cormac Devlin asked the Minister for Health the distribution of stage at diagnosis and median age at diagnosis for HPV-16-positive oropharyngeal and anal cancers over the most recent five years; the median time from first presentation to diagnosis; and the actions being taken to shorten diagnostic intervals in primary care, dental services, and ENT pathways; and if she will make a sta…

1846. Deputy Cormac Devlin asked the Minister for Health the current laboratory testing policy for head-and-neck, anal and cervical cancers regarding p16 immunohistochemistry, HPV DNA genotyping, and where available E6/E7 mRNA assays; the proportion of relevant tumours tested for HPV status each year; the steps being taken to standardise national reporting to the NCRI; and if she will make a state…

1847. Deputy Michael Cahill asked the Minister for Health to provide an update on the provision of an ambulance base in Killorglin, County Kerry (details supplied); and if she will make a statement on the matter. [58801/25]

1848. Deputy Micheál Carrigy asked the Minister for Health if she will address the ongoing shortage of salbutamol nebuliser solution in community pharmacies; the actions being taken by the HSE, the Medicines Management Programme and the HPRA to stabilise supply; the expected timeframe for restoration of normal availability; the clinical guidance being issued to prescribers and pharmacists regardin…

1849. Deputy Ken O'Flynn asked the Minister for Health further to Parliamentary Question No. 845, of 30 September 2025, to provide a breakdown of the gender affirmation surgeries funded abroad by category (male-to-female, female-to-male, non-binary, or other); and to indicate the number of individuals in each category who have received funding in the past five years. [58815/25]

1850. Deputy Ken O'Flynn asked the Minister for Health further to Parliamentary Question No. 845 of 30 September 2025, to confirm the age range of individuals who have received HSE funding for gender affirmation surgery abroad, including the number of individuals under 18, between 18–25, and over 25 years of age. [58816/25]

1851. Deputy Ken O'Flynn asked the Minister for Health further to Parliamentary Question No. 845 of 30 September 2025, the process through which individuals are assessed and approved for HSE funding for gender affirmation surgery abroad, including which specialists or multidisciplinary teams are involved and whether the HSE independently diagnoses gender dysphoria or relies on external assessments…

1852. Deputy Ken O'Flynn asked the Minister for Health further to Parliamentary Question No. 845 of 30 September 2025, whether the HSE recognises gender dysphoria as a medical or scientific condition; and the diagnostic criteria or international guidelines on which this recognition is based. [58818/25]

1853. Deputy Ken O'Flynn asked the Minister for Health further to Parliamentary Question No. 845, of 30 September 2025, the aftercare supports which are provided to individuals who undergo gender affirmation surgery abroad under HSE funding, including post-surgical follow-up, psychological supports, and ongoing medical treatment. [58819/25]

1854. Deputy Ken O'Flynn asked the Minister for Health further to Parliamentary Question No. 845 of 30 September 2025, the protocols which are in place for individuals who later regret or reverse their decision to undergo gender affirmation surgery, including whether the HSE provides medical or psychological support in such cases and if reversal or reconstructive procedures are funded. [58820/25]

1855. Deputy Ken O'Flynn asked the Minister for Health further to Parliamentary Question No. 845 of 30 September 2025, if an independent review or audit of the HSE’s overseas gender affirmation surgery programme has been undertaken, and if not, whether the Minister will commission one to evaluate clinical outcomes, patient satisfaction, and long-term impacts. [58821/25]

1856. Deputy Ken O'Flynn asked the Minister for Health further to Parliamentary Question No. 845 of 30 September 2025, the criteria used by the HSE to assess eligibility for funding gender affirmation surgery abroad; and the grounds on which an application may be refused. [58822/25]

1857. Deputy Ken O'Flynn asked the Minister for Health further to Parliamentary Question No. 845 of 30 September 2025, whether individuals whose applications for HSE funding for gender affirmation surgery abroad have been refused are provided with written reasons for the decision; and if they are informed of their right to appeal. [58823/25]

1858. Deputy Ken O'Flynn asked the Minister for Health further to Parliamentary Question No. 845 of 30 September 2025, the appeal process available to individuals whose applications for HSE funding for gender affirmation surgery abroad have been refused, including the number of appeals submitted and the number subsequently overturned. [58814/25]

1859. Deputy Ken O'Flynn asked the Minister for Health further to Parliamentary Question No. 845 of 30 September 2025, if there is a standardised clinical review or multidisciplinary panel within the HSE that determines refusals for gender affirmation surgery funding; and the professional backgrounds of those involved in such decisions. [58824/25]

1860. Deputy Ken O'Flynn asked the Minister for Health further to Parliamentary Question No. 845 of 30 September 2025, whether any applications for gender affirmation surgery funding abroad have been refused on the basis of age, psychological readiness, co-existing mental health conditions, or lack of medical evidence; and to provide details on the way in which such determinations are made. [58825…

1861. Deputy Ken O'Flynn asked the Minister for Health further to Parliamentary Question No. 845 of 30 September 2025, if individuals who are refused HSE funding for gender affirmation surgery abroad are offered alternative supports within Ireland, such as counselling, hormone therapy, or local surgical referral pathways. [58826/25]

1862. Deputy Ken O'Flynn asked the Minister for Health further to Parliamentary Question No. 845 of 30 September 2025, the age profile of service users who have undergone gender-affirming surgery through the Transgender Adult Service; the age of the youngest service user since the relevant legislation was introduced; and the age of the oldest service user. [58827/25]

1863. Deputy Ken O'Flynn asked the Minister for Health further to Parliamentary Question No. 845 of 30 September 2025, the assessment process in place for service users prior to being approved for gender-affirming procedures; the aftercare supports provided following such procedures; and whether service users are required to pay for the assessment process or aftercare services. [58828/25]

1864. Deputy Ken O'Flynn asked the Minister for Health further to Parliamentary Question No. 845 of 30 September 2025, the percentage of the total cost of gender-affirming surgery that is covered by the Transgender Adult Service. [58829/25]